NPIMap

Individual provider Active NPI

Gurjeet Singh Kahlon, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Centerville, OH
National Provider Identifier
1649209644
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35088496 Issued in OH
Practice address
6611 Clyo Rd
Suite E
Centerville, OH 45459-2786
Phone
(937) 208-8282
Fax
(937) 208-8276
NPI assigned
Jul 2, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35088496 OH Primary

Addresses

Primary practice location

6611 Clyo Rd
Suite E
Centerville, OH 45459-2786

Mailing address

6611 Clyo Rd
Suite E
Centerville, OH 45459-2786
Phone (937) 208-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000335 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5092715540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Primary Care, IncGroup PAC ID 0840284345, 8 clinicians
Valley Medical LTC IncGroup PAC ID 8820505258, 7 clinicians

Practice addresses (Care Compare)

6611 Clyo Rd
Suite E
Centerville, OH 45459-2785
Phone (937) 208-8282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35088496OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical LTC Inc Geriatric Medicine CurrentSince Jul 20, 2025 Accepting new patients
Valley Medical Primary Care, Inc Geriatric Medicine CurrentSince Jan 15, 2007 Accepting new patients
Grace Brethren Village Inc. Past Accepting new patients
Friends Health Care Association, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Legacy Kettering Operating Company, LLC Past Accepting new patients
Dayton SNF Healthcare LLC Past Accepting new patients
Kettering SNF Healthcare LLC Past Accepting new patients
Legacy Beavercreek of Dayton Operating Company, LLC Past Accepting new patients

Locations

6611 Clyo Rd
Ste E
Dayton, OH 45459
Phone (937) 208-8282

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kettering Heights Post AcuteKettering, OH, CCN 365616 Skilled nursing facility Adp of the SNF Dec 1, 2024
Beavercreek Post AcuteDayton, OH, CCN 365374 Skilled nursing facility Adp of the SNF Dec 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1649209644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 CLYO RD",
            "address_2": "SUITE E",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592786",
            "telephone_number": "937-208-8282",
            "fax_number": "937-208-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 CLYO RD",
            "address_2": "SUITE E",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592786",
            "telephone_number": "937-208-8282",
            "fax_number": "937-208-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "GURJEET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35088496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.